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1124181029
RAFAEL FAZYLOV
FLUSHING, NY
NPI
1124181029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NY 240907)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Dr. RAFAEL FAZYLOV MD
5645 MAIN ST RM M204
FLUSHING, NY 11355-5045
Phone number: 718-445-0220
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Mailing Address
Dr. RAFAEL FAZYLOV MD
5645 MAIN ST RM M204
FLUSHING, NY 11355-5045
Phone number: 718-445-0220
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